Psychodynamic approach to occupational psychiatry: comparative case studies and review

Current approaches to occupation-related psychiatric disturbances emphasize "stress coping" with a focus on person/work-environment fit. Although this approach is useful as a primary prevention strategy, we will continue to see those who even in an average expectable environment will develop disturbances of the capacity to work. Two patients are presented to demonstrate the utility of a psychodynamic approach to this type of case.